JENNIFER RAE RUSSO (NPI# 1053644930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053644930 |
| Entity Type | Individual |
| Full Name | JENNIFER RAE RUSSO |
| Credential | DPT |
| Practice Address |
1721 Allens Ln Ste 101 Wilmington NC 28403-3662 |
| Practice Telephone | 9102564442 |
| Practice Fax Number | 9102564443 |
| Mailing Telephone | 9102564442 |
| Mailing Fax Number | 9102564443 |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2020-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | P13688 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | PT.012148 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18 Doctors Cir, Suite 1, Supply, NC 284624089 | 9107552068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407200413 | Jennifer Russo | Health Educator | 83 Kind Ave, Henderson, NV 89002-3364 | 2016-04-15 |
| 1073975934 | Jennifer Lynn Russo | Counselor | 13 Stillwater Rd, Blairstown, NJ 07825-9554 | 2016-03-22 |
| 1700062577 | Jennifer F Russo | Physical Therapist | 967 Newbridge Rd, North Bellmore, NY 11710-1620 | 2008-01-11 |
| 1740635044 | Jennifer Filkins Russo | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2016-04-25 |
| 1851765937 | Jennifer Russo | Speech-Language Pathologist | 12 Lindsey Cir, Old Bridge, NJ 08857-2678 | 2015-11-30 |
| 1386040079 | Jennifer Russo | Dietitian, Registered | 50 E North St, Buffalo, NY 14203-1002 | 2014-11-07 |
| 1699032128 | Jennifer Russo | Internal Medicine | 166 Central St, Lowell, MA 01852 | 2012-04-22 |
| 1932397759 | Jennifer M. Russo | Speech-Language Pathologist | 267 Grant St, Bridgeport, CT 06610-2805 | 2007-10-05 |
| 1760528566 | Jennifer Pert Russo | Speech-Language Pathologist | 43 Baxter Blvd, Portland, ME 04101-1823 | 2007-01-29 |
| Street Address |
1721 ALLENS LN STE 101 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-3662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619901030 | Joanne B Allen | Physical Medicine & Rehabilitation | 1721 Allens Ln Ste 101, Wilmington, NC 28403-3662 | 2006-07-10 |
| 1225640923 | Taylor Romulus Mitchell | Physical Therapist | 1721 Allens Ln Ste 101, Wilmington, NC 28403-3662 | 2020-08-24 |
| 1497380141 | Rachel Cohen | Physical Therapist | 1721 Allens Ln Ste 101, Wilmington, NC 28403-3662 | 2020-03-03 |
| 1134645138 | Catherine Clark Duncan | Physical Therapist | 1721 Allens Ln Ste 101, Wilmington, NC 28403-3662 | 2017-08-21 |
| 1174960124 | Allen Spine and Sports Medicine, PC | Physical Medicine & Rehabilitation | 1721 Allens Ln Ste 101, Wilmington, NC 28403-3662 | 2013-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199697 | Andrew Brett Berta | Physical Therapist | 2060 Limestone Rd Ste 201, Wilmington, DE 19808-5500 | 2020-09-16 |
| 1336762723 | Brittany Ann Vavra Marki | Physical Therapist | 2516 Independence Blvd Ste 101, Wilmington, NC 28412-7159 | 2020-05-20 |
| 1578105599 | Alexander Stewart | Physical Therapist | 4723 Concord Pike, Wilmington, DE 19803-1446 | 2019-10-10 |
| 1487295150 | Everybody Swim | Physical Therapist | 343 Julia Dr, Wilmington, NC 28412-7939 | 2019-10-03 |
| 1184279390 | Carolina Healthcare Associates Inc | Physical Therapist | 2710 Market St, Wilmington, NC 28403-1218 | 2019-08-05 |
| 1811552037 | Erin Fitzpatrick LLC | Physical Therapist | 441 Biscayne Dr, Wilmington, NC 28411-9428 | 2019-05-02 |
| 1619434727 | Mackenzie Cross | Physical Therapist | 707 Grace St, Wilmington, NC 28401-4134 | 2019-02-25 |
| 1669938833 | Faith K Patterson | Physical Therapist | 613 Kilburn Rd, Wilmington, DE 19803-1704 | 2019-02-13 |
| 1689139099 | Stephanie Manning | Physical Therapist | 1401 Foulk Rd Ste 2013, Wilmington, DE 19803-2763 | 2019-02-11 |
| 1689146821 | George Meek | Physical Therapist | 612 Blue Point Dr, Wilmington, NC 28411-7361 | 2018-12-28 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.